ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Reviewing the events leading to each error is the first step to identify root causes and patterns, enabling targeted interventions. Competency exams, in-services, or programs should follow this analysis.
Question 2 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply)
Correct Answer: B,C,E
Rationale: Hypotension, weakened gag reflex, and absence of bowel sounds are complications associated with cervical spinal cord injury due to disruption of the sympathetic nervous system, cranial nerve function, and gastrointestinal motility, respectively.
Question 3 of 5
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Diluting each medication with 10 mL of tap water prevents tube occlusion and ensures proper administration. Other options risk aspiration, drug interactions, or inadequate flushing.
Question 4 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer: C
Rationale: HIPAA restricts disclosing PHI to family members without patient consent, except in specific cases like emergencies or patient incapacitation.
Question 5 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Rinsing the mouth with water after each dose of inhaled beclomethasone helps minimize local side effects such as oral candidiasis (thrush) or dysphonia (hoarseness) by reducing the amount of medication left in the mouth, thereby decreasing the risk of adverse effects.